How to Read Your Health Insurance Explanation of Benefits Statement

People generally know less than they think they do when it comes to understanding their health benefits — which can lead to problems down the road. According to the American Institutes for Research, 3 out of 4 people said they felt confident that they knew how to use their health insurance. But only 1 out of 5 could accurately calculate their out-of-pocket costs. This lack of knowledge can hurt when the explanation of benefits (EOB) shows up in the mail. The EOB is a form that identifies the treatment or services you were provided and what amount your insurance will pay, says Erin Singleton, chief of mission delivery at the Patient Advocate Foundation, a nonprofit that provides professional case management services to people with chronic, life-threatening and debilitating illnesses. The EOB often says “This is not a bill” in large letters, and then has a chart or balance sheet detailing …

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